| Colorado CDPHE, HCA Class B Rules checked October 2, 2026 Manager and supervisor guide | Home care agency manager The governing body, or the one individual designated in its place, appoints a manager to supervise the agency’s services. 6 CCR 1011-1 Ch. 26, 7.2(A)6 CCR 1011-1 Ch. 26, 7.1(A)6 CCR 1011-1 Ch. 26, 7.1(C)(2); 7.2(A) | 21 or older, diploma, a year supervising At least 21, with a high school diploma or GED and a year of documented supervisory experience in personal care, or a healthcare degree plus a year of health care work, or any college degree plus two years of health care work, within the last ten years. Plus an 8-hour manager course, or documented equivalent experience or education. 6 CCR 1011-1 Ch. 26, 7.2(B)(1)6 CCR 1011-1 Ch. 26, 7.2(B)(1)(a)6 CCR 1011-1 Ch. 26, 7.2(B)(3)6 CCR 1011-1 Ch. 26, 7.2(B)(3)(a) | Written alternate The manager is responsible for designating in writing the qualified staff member who acts when the manager is absent. 6 CCR 1011-1 Ch. 26, 7.2(C)(7) | Manager or designee in service hours The manager or a designee is available for all hours that personnel are providing services, and a supervisor is available to workers whenever care is given. 6 CCR 1011-1 Ch. 26, 7.2(C)(8)6 CCR 1011-1 Ch. 26, 7.8(A)(1) | No The supervisor of homemakers and personal care workers needs personal care training and the experience the agency’s own policy sets; no nurse is required for Class B. 6 CCR 1011-1 Ch. 26, 7.7 | 12 hours a year After the 8-hour manager course (its certificate kept in the manager’s personnel file), 12 hours of related training in the first year and every year after. 6 CCR 1011-1 Ch. 26, 7.2(B)(3) | New manager’s fingerprints to CBI in 10 days A new owner, manager or administrator submits fingerprints to the Colorado Bureau of Investigation within 10 calendar days of the change. Our sources set no deadline for telling CDPHE about a new manager; CDPHE says application information that changes during the license term is reported within the time frames in the rules. Additional Information For New Licensees, Changes Of Information After License Is Issued6 CCR 1011-1 Ch. 26, 4.2(D) |
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| Georgia DCH, PHCP Rules checked September 30, 2026 Administrator guide | Administrator The governing body appoints an administrator with full authority and responsibility for the agency. 111-8-65-.09(3) | No education requirement The rules set no education requirement. The administrator states at application that they have never been shown to have abused, neglected or exploited anyone, takes part in the required orientation and training, and makes no false statements about qualifications. DCH’s checklist asks for a GCHEXS fingerprint check and proof of orientation. The 2026 amendment, adopted on July 9, 2026, makes a satisfactory fingerprint determination a qualification; confirm its effective date with DCH. 111-8-65-.09(3)111-8-65-.09(3)(a)1-3111-8-65-.09(5)(a)1; .09(3)(a)1Application Checklist, item 7Application Checklist, item 10Amended 111-8-65-.09(3)(a)1Board summary, July 9, 2026 | Not covered in our sources | Agency on call for frail clients’ care When staff perform personal care tasks for medically frail or compromised clients, the agency must have a representative on call who can reach a nurse supervisor. The rules set no on-call duty for the administrator. 111-8-65-.10(2)(d) | Yes, DCH’s checklist requires one DCH’s checklist requires a registered nurse for every initial application, and the RN may also be the administrator or owner. The rules require an RN or LPN to supervise personal care for medically frail clients. Application Checklist, p. 2111-8-65-.10(2)(b) | 8 hours a yearOur reading The administrator takes part in the training the rules require, and the rules set at least 8 hours a year, after the first year, for employees who provide services to clients. By our reading that includes the administrator; confirm with DCH. 111-8-65-.09(3)(a)1-3111-8-65-.09(6)(b)111-8-65-.09(6) | No deadline namedRegulator guidance DCH’s checklist says administrator updates go to the Private Home Care Team by email (hfrd.phcp@dch.ga.gov). The rules set no deadline. Application Checklist, p. 1 |
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| Illinois IDPH, Home services agency Rules checked October 1, 2026 Agency manager guide | Agency manager Designated by the governing body, with overall responsibility for the organization and day-to-day operation of the agency. 77 Ill. Adm. Code 245.2077 Ill. Adm. Code 245.30(f)(1) | No degree or license set The rule sets no degree or license for the manager. IDPH reviews the manager’s work experience, licenses and any convictions or license actions on Attachment E, part of the initial application and of any application after a change of manager. 77 Ill. Adm. Code 245.30(f)(1)Form 445104, page 9Attachment E, page 1 | Written alternate The manager designates in writing the qualified staff member who acts when the manager is absent, and the application names the alternate. 77 Ill. Adm. Code 245.90(a)(3)(B)77 Ill. Adm. Code 245.40(a)(11); 245.90(a)(3)(B) | A staffed office in business hours The manager keeps an office with a working phone staffed during business hours. With a branch office, the parent agency’s manager supervises during all of the branch’s operating hours. IDPH’s survey checklist says the manager or a designee must be available when a surveyor arrives. 77 Ill. Adm. Code 245.80(k)(1)(A)-(C)Surveillance Nurse Visit Checklist (Home Services)77 Ill. Adm. Code 245.40(a)(12) | No The rule sets no degree or license for the manager, and IDPH’s application says a home services license allows no skilled service. A home nursing agency, a separate license, needs an RN or APRN to supervise skilled nursing if its manager is not one. 77 Ill. Adm. Code 245.30(f)(1)Form 445104, page 777 Ill. Adm. Code 245.30(f)(2) | Not covered in our sources | Within 10 days Tell IDPH within 10 days of a change of manager, on its Facility Information Change Form. IDPH’s application asks for a new Attachment E (manager qualification review) when the manager has changed. 77 Ill. Adm. Code 245.80(h)Form 445104, page 9 |
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| Indiana IDOH, PSA license Rules checked October 2, 2026 Agency manager guide | Manager Every personal services agency employs a manager responsible for organizing and running the agency day to day. IC 16-27-4-9(a) | None set by the statute The statute sets no qualifications, license or experience. IDOH’s application asks for a lifetime expanded or national criminal history report, dated within the past three months, for the manager and each alternate. IC 16-27-4-9(a)State Form 53391, Section III | Written designees; IDOH asks for alternates The manager may designate in writing one or more people to act for them. IDOH’s application asks for an alternate manager and, if applicable, a second alternate. IC 16-27-4-9(b)State Form 53391, Section III | Client calls answered 24 hours a day The manager or a designee must be available to answer client phone calls 24 hours a day. IC 16-27-4-14 | No The statute sets no license for the manager, and IDOH’s instruction letter says a personal services agency is not a medical agency and may not provide medical care. IC 16-27-4-9(a)Instruction letter, Medical Care | Not covered in our sources | When it changes; no deadline named The statute requires management information to go to IDOH when management changes. IDOH asks for the new person’s name and title and whom they replace, with an expanded or national background check. IC 16-27-4-17(a)IDOH-HCBC/PSA-1, FAQs, Agency Changes |
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| Kansas KDHE, HHA (supportive care) Rules checked October 2, 2026 Administrator and manager guide | Administrator, alternate and manager The rules require a qualified administrator and alternate administrator, and KDHE says a supervisor or manager function is required. The manager supervises the supportive care workers. Two Options, Option 2K.A.R. 28-51-100(aa)K.A.R. 28-51-103(a)(2) | 21 or older, a year’s experience, degree or course At least 21, with at least one year as an employee of a home health agency or in a related health care service, and a bachelor’s or associate degree or a certificate from a KDHE-approved home health administrator course. The manager needs at least one year providing home health, HCBS or supportive care services. K.A.R. 28-51-103(b)(4)K.A.R. 28-51-100(aa) | Alternate administrator The alternate meets all the administrator’s requirements and covers whenever the administrator is unavailable. K.A.R. 28-51-103(c) | Lives within the service area The administrator must reside within the service area, which is within 200 miles of the parent office; KDHE asks for evidence of where the administrator and alternate live. A manager is on call to help staff. K.A.R. 28-51-103(b)(2)K.A.R. 28-51-100(vv); 28-51-101(m)K.A.R. 28-51-104(c)(3)(J) | No, and no nursing An agency licensed only for supportive care may not provide nursing services. KDHE’s attestation prohibits nursing of any kind, including a nurse supervising or delegating. K.A.R. 28-51-105(e)Attestation Form, p. 2 | Not covered in our sources | Within five days Notify KDHE in writing within five days of a change of administrator or alternate, with the new person’s name, address and qualifications. K.A.R. 28-51-101(e) |
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| Maryland OHCQ, RSA Rules checked October 2, 2026 Registered nurse guide | No administrator role namedOur reading By our reading, the RSA rules name no administrator. They require a governing authority that meets management at least yearly, and a registered nurse who oversees care for clients needing skilled services or help with daily living. COMAR 10.07.05.08ACOMAR 10.07.05.12E(1) | Not covered in our sources | Not covered in our sources | Agency reachable 24/7 Clients can reach the agency 24/7, and an appropriate person responds within 1 hour. The delegating nurse is on the premises or available by telephone while a task is delegated. COMAR 10.07.05.12GCOMAR 10.27.11.04B, .02B(17)(b) | Yes, an RN for ADL clients For clients who need skilled services or help with activities of daily living, a registered nurse oversees the care plan, delegation, supervision and training. COMAR 10.07.05.12E(1) | Staff: 2 hours of dementia training a year No administrator role is named. Direct care and supervisory staff get 2 hours of dementia continuing education each calendar year, after 3 hours within 45 days of starting. Health-General §19-4A-03.1(c)(1)(ii)Health-General §19-4A-03.1(c)(1)(i) (Chapter 487 of 2021) | Immediately, for application changes Tell the Department immediately about any change to the information in the most recent application. Our sources do not say whether that covers a change of manager. COMAR 10.07.05.05C |
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| Nevada HCQC, Personal care agency (PCA) Rules checked October 3, 2026 Administrator and designee guide | Administrator The administrator develops and implements the agency’s policies and must be able to show the Division that the agency can meet each client’s service plan. NAC 449.3973(2)(f)NAC 449.3973(2)(h) | 18 or older, high school diploma At least 18, with a high school diploma or equivalent or, since R089-24, a Nevada long-term care administrator license; understanding of elderly and disabled people, knowledge of the rules and English literacy. HCQC’s checklist asks for the diploma, proof of age and current elder abuse training. NAC 449.3973(1), as amended by R089-24 section 58Licensing Checklist for Personal Care Services (PCS)Licensing Checklist | Designee for absences The administrator appoints a person to act in their absence, with access to all agency records. NAC 449.3973(2)-(3) | Reachable in all service hours Clients are told how to reach the administrator or designee during all service hours, and the agency’s on-call policy. NAC 449.3979(2)(f) | No The administrator rules require no nurse, and attendants need no certification such as CNA. NAC 449.3973(1), as amended by R089-24 section 58NAC 449.3975(1)-(5) | Elder abuse training every year The administrator, or other person in charge, completes training to recognize and prevent abuse of older persons before the agency provides care, then every year. The statute sets no hours. NRS 449B.225(4) | Within 30 days Notify the Division of a change of administrator, and apply for a new license, within 30 days, through HCQC’s online licensing system, which lists Change of Administrator. If you miss the deadline, the Division charges its new-license application fee plus an additional 50%. NAC 449.0114(4), as amended by R089-24 section 17Licensing Checklist, Licensure Application Information |
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| New York DOH, LHCSA Rules checked October 3, 2026 State guide | No set titleOur reading By our reading, Part 766 sets up no administrator post of its own; it mentions one only in requiring that a management contract leave the governing authority direct, independent authority to hire or fire the agency’s administrator or manager. DOH asks for the person administratively responsible for each site before the pre-opening survey. 10 NYCRR 766.9(m)(2)(iii)(a)Guidance, Attachment C | Not covered in our sources | Not covered in our sources | Agency 24/7 emergency contacts Agencies designate 24/7 emergency contacts in DOH’s Health Commerce System and keep a coverage policy matching their hours of operation, reviewed at least yearly. 10 NYCRR 766.9(o); DAL DHCBS 25-10 | Yes, an RN directs care Every LHCSA employs at least one registered nurse responsible for directing and supervising all patient care. 10 NYCRR 766.9(h) | Not covered in our sources | No notice named; update DOH’s directory Our sources name no notice to DOH of a new administrator. Personnel role changes go into the Health Commerce System Communications Directory as soon as they occur, and at least monthly. 10 NYCRR 766.9(o)(4) |
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| North Carolina DHSR, Home care agency Rules checked October 1, 2026 Agency director guide | Agency director One individual designated as agency director, with authority and responsibility for administrative direction of the agency. A service supervisor may also be the director. 10A NCAC 13J .1001(b)10A NCAC 13J .1001(c) | Practitioner, experience or degree A health care practitioner; two years of supervisory or management experience in home care or another licensed provider; or a bachelor’s degree in health, business or public administration plus one year of supervisory or management experience. Directors in post before October 1, 2006 are exempt. For companion, sitter and respite agencies only: a high school diploma or GED, plus either a year of experience in home care, companion, sitter or respite services or another licensed provider, or being a health care practitioner. 10A NCAC 13J .1001(b)10A NCAC 13J .1001(b)(1)10A NCAC 13J .1001(b)(3)FAQ 3710A NCAC 13J .1503(1)10A NCAC 13J .1503(1)(b) | Order of authority in policy Agency policies define who is in charge when the administrator is absent. 10A NCAC 13J .1001(e) | Supervisors in service hours, not the director DHSR says the RN supervisor must be available to in-home aides and clients while aide services are provided, and able to go on site. Companion and sitter supervisors are available, on site when necessary, during service hours. FAQ 4610A NCAC 13J .1504(6) | Yes, for in-home aide services For in-home aide services, an RN verifies the core skills of aides not on the Nurse Aide Registry, and DHSR says an RN must be available for supervision and consultation while aides are working. 10A NCAC 13J .1003(g)FAQ 43 | Not covered in our sources | Within five working days of a vacancy Tell DHSR in writing within five working days if the director post becomes vacant, with the replacement’s name if known. DHSR’s FAQ asks for notice before a new director’s effective date, with documents showing the candidate qualifies, and DHSR mails an approval letter. 10A NCAC 13J .1001(e)FAQ 42FAQ 38 |
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| Ohio ODH, Nonmedical HHS Rules checked September 30, 2026 State guide | Chief administrator ODH’s rules give the background check duties to the agency’s chief administrator or their designee. Our sources set no other duties or qualifications for the role. OAC 3701-60-06(A) | Not covered in our sources | Not covered in our sources | Not covered in our sources | Not covered for the ODH license For ODA (Medicaid) certification of personal care, the personal care aide supervisor must be an RN, or an LPN under the direction of an RN. OAC 173-39-02.11(C)(4)(a) | Not covered in our sources | Any application change: 10 days Written notice to ODH within 10 days of any change to the information in your application. Our sources do not say whether the application names an administrator. OAC 3701-60-03(I) |
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| South Carolina DPH, IHCP Rules checked October 2, 2026 Administrator and office guide | Administrator The individual the licensee designates to manage the provider, in charge of all its functions and activities. R.60-122 §102.AR.60-122 §401 | None set by the rule R.60-122 sets no qualifications for the administrator. For Medicaid personal care, SCDHHS requires the owner or administrator to have at least three years of health care administrative experience. R.60-122 §401Personal Care Scope, B.1 | Not covered in our sources | Not covered in our sources | No R.60-122 does not require a nurse. For Medicaid personal care, SCDHHS requires an RN or LPN supervisor. R.60-122 §402.B, §406.APersonal Care Scope, D.1, E.2-3 | Not covered in our sources | Online form; no deadline setRegulator guidance DPH says any change in administrator must be reported to it, and has an online form for it. R.60-122 itself sets no deadline for this report. Change in Administrator |
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| Tennessee TDMHSAS, PSSA Rules checked October 2, 2026 Person responsible guide | Person responsible for operation The licensee designates an individual responsible for operating the agency. The application names the person with overall responsibility, and the Fact Sheet the site manager or director. MH-4385, item 3MH-4386, item 5Tenn. Comp. R. & Regs. 0940-05-38-.05(4) | No minimums; vetted at applicationRegulator guidance The application asks for the person’s highest education and five years of work history but sets no minimum. TDMHSAS asks for a TBI fingerprint check (or FBI prints or a licensed private investigator) and three character references. MH-4385, item 8(b), (e)MH-4385, item 7MH-4385, item 9 | Not covered in our sources | Not covered in our sources | Only for medication assistance or education services Medication assistance training is given by, or under the general supervision of, a registered nurse, and education services are consultation by a registered nurse. An agency offering neither needs no nurse for them. 0940-05-38-.08(1)(b)0940-05-38-.01(6) | Not covered in our sources | Change of Status form; no deadline namedRegulator guidance A new chief executive officer or executive director goes on TDMHSAS’s Change of Status form, with background forms and fingerprinting. The form says not to use it for a site director change, and the forms we saved do not say how that is reported. MH-4454, InstructionsMH-4454, item 1 |
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| Texas HHSC, HCSSA (PAS) Rules checked September 30, 2026 Administrator guide | Administrator and alternate The license holder designates a qualified administrator and, in writing, an alternate. HHSC’s FAQ says each agency has exactly one of each. FAQ p. 726 TAC §558.243(a) | Diploma plus a year, or college For a PAS-only agency: a high school diploma or GED with a year of experience or training caring for people with functional disabilities, two years of full-time college in a health-related field, or the home health and hospice administrator qualifications. HHSC says the administrator needs no professional license. HHSC’s Presurvey Training comes before applying. First-time administrators also complete 24 hours of training, 8 of them before designation. 26 TAC §558.244(a)(3)FAQ p. 726 TAC §558.13(a)26 TAC §558.259(c) | Written alternate The alternate is designated in writing, meets the administrator’s qualifications and acts in the administrator’s absence. The administrator also names, in writing, an employee to let HHSC surveyors in if neither is available. 26 TAC §558.243(a)(2)26 TAC §558.243(b)(3) | In person or by phone, in operating hours The administrator or alternate must be available to agency staff, in person or by phone, during operating hours. 26 TAC §558.243(b)(2) | No PAS-only agencies need no supervising nurse; home health and hospice agencies do. A PAS supervisor is a licensed nurse or has two years of college, or a diploma or GED with a year of full-time supervisory work in a health care or community-based agency for each year of college. 26 TAC §558.243(c)(1)26 TAC §558.404(g)(2) | 12 hours a year The administrator and alternate complete 12 hours of continuing education every 12 months after designation, on at least two listed topics. First-time administrators also complete 24 hours of training: 8 before designation, the other 16 in the first 12 months. 26 TAC §558.260(a)26 TAC §558.259(c) | Within seven days Tell HHSC in writing no later than seven days after a change of administrator or alternate. Reporting a new administrator on time costs $30 (HHSC’s fee); a new alternate reported on time costs nothing. 26 TAC §558.208(b)(3)26 TAC §558.208(b)(1)-(2)26 TAC §558.218(a) |
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| Virginia OLC, HCO Rules checked October 1, 2026 Administrator guide | Administrator, an employee Designated in writing by the governing body, with authority for day-to-day management, and must be an employee. The administrator may also be the director of nursing if qualified for both. 12VAC5-381-10 | A year in health care, a year managing At least one year of training and experience in direct health care delivery, and at least one year in the last five of supervisory or administrative management experience in home health care or a related health program. 12VAC5-381-170 A | A designee who can do it all Whoever is designated to act when the administrator is absent must be able to perform all eight of the administrator’s duties. 12VAC5-381-170 C | At all times in operating hours The administrator or a designee is available at all times during operating hours and for emergencies, on the premises or by phone or other telecommunications. 12VAC5-381-170 D12VAC5-381-10 | Yes, an RN for personal care An organization providing personal care designates a registered nurse to supervise it, and an RN or LPN is available during all hours personal care is given. 12VAC5-381-360 A12VAC5-381-360 F | Not covered in our sources | 30 days ahead Tell OLC 30 days in advance of a change of administrator, as for changes to the service area, ownership, services, operator or name. 12VAC5-381-150 E |
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| Washington DOH, In-home services license (home care) Rules checked October 2, 2026 Administrator and supervisor guide | Administrator and supervisor of direct care An administrator who is a home care employee, and a supervisor of direct care services responsible for the services behind each client’s plan of care. WAC 246-335-415(11)WAC 246-335-445(1) | Set by your own policies The administrator has the education and experience the agency’s own policies require; DOH may not add qualifications beyond state law. The administrator and the supervisor need State Patrol background checks and disclosure statements obtained within three months of the application date. WAC 246-335-415(11)RCW 70.127.120(6)WAC 246-335-320(2)(d)(i)(A)WAC 246-335-320(2)(d)(iv) | Written alternates for both roles The administrator designates an alternate in writing, and the supervisor of direct care services has a similarly qualified alternate named in writing. WAC 246-335-415(11)WAC 246-335-445(1) | Supervisor or designee in care hours The supervisor of direct care services or a designee must be available during all hours of client care. WAC 246-335-445(4) | Only for optional nursing tasks No nurse is required on staff. An RN by contract is needed only if you offer nurse delegation (for Medicaid clients, DSHS or the AAA arranges the delegating nurse) or help with vital signs that guide medication. WAC 246-335-420(14)(b)WAC 246-335-420(14)(a) | Supervisor: 10 hours a year The supervisor of direct care services and the alternate each complete at least ten hours of training a year, documented in their personnel files. Our sources set no hours for the administrator. WAC 246-335-445(3) | Within 30 days Written notice to DOH within 30 days of a change of administrator or supervisor of direct care services. DOH’s instructions use an amended application for it. WAC 246-335-335(5)DOH 505-053 (February 2026), page 1 |
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